239 Beach Ave mchg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,• ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-MCHG-3639
Job Type: MECHANICAL GAS PIPING
Description: install prefabricated gas fireplace
Estimated Value: $6,853.55
Issue Date: 3/30/2017
Expiration Date: 9/26/2017
PROPERTY ADDRESS:
Address: 239 BEACH AVE
RE Number: 170190-0000
PROPERTY OWNER:
Name: HYMAN, CHARLES D AND JANET S,
Address: 239 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: SETZERS & COMPANY
,030560
Address: 7660 PHILLIPS HWY BERRY ROBERTS
Phone: -
FEES:
State Mach DBPR Surcharge $2.00
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
Gas Piping Vented Units $5.00
Total Payments: $64.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
.JQ /JPh(9004)247-5826 Fax(904)247-5845 til
JOB ADDRESS: �j / ('JFI.( /- ke PERmrr#
PROJECT VALUE$ iW53. 5y ARI# REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fre Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Five Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty—/— Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit biomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hemby certify that I have read
this application and know the same to he true and coned All provisions of laws and ordinances governing this work will be complied with whether specified or
not The permit does not giveGuth '`' to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name /�7/! /f �V/YVI Phone Number 75!?-I&P?
Mechanical Company \0�7 P/S Office Phone-721-q&D Fax 730-
Co. Address: LL I City�State 7& Zip 3aas��
License Holder(Print): r Q to Certificatimi/Regi,tration# -;h6406
lder
Ind, MELIN9A L GALLUP
I ,.= Nolary Publlc 6tate of Flakier Before me this��day of m0.r C k 220
�j Commlubn a ff 196796 r _ 1 K .(v.{ „ „
';, ,tA:f My Comm.EXPbu Aar 16.2919 Signature of Notary Public A g—�"""�^�-7( ^�y1'/l�Jn`
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